US10583224B2ActiveUtilityA1

Multi-component non-biodegradable implant, a method of making and a method of implantation

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Assignee: NEW YORK SOC RUPTURED & CRIPPLED MAINTAINING HOSPITAL FOR SPECIAL SURGERYPriority: Apr 26, 2013Filed: Dec 6, 2016Granted: Mar 10, 2020
Est. expiryApr 26, 2033(~6.8 yrs left)· nominal 20-yr term from priority
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Claims

Abstract

An implant comprising at least three components, namely, a solid hydrogel, a porous hydrogel adjacent to or surrounding the solid hydrogel (together considered “the hydrogel”), and a porous rigid base. The solid hydrogel and porous rigid base carry joint load, and the porous hydrogel layer and the porous rigid base allow for cellular migration into and around the implant. The invention is also a novel method of manufacturing the implant, a novel method of implanting the implant, and a method of treating, repairing or replacing biological tissue, more preferably musculoskeletal tissue, with the implant.

Claims

exact text as granted — not AI-modified
The invention claimed is: 
     
       1. A method of manufacturing an implant suitable for implantation into a mammal for the treatment, repair or replacement of defects or injury in musculoskeletal tissue, comprising:
 a. creating geometric features in a surface of a porous rigid base, wherein the porous rigid base contain micropores; 
 b. adding a liquid polymer to the geometric features and the surface of the porous rigid base, such that the geometric features are filled and the surface covered, to create a porous rigid base-polymer construct; 
 c. placing a hydrogel on the porous rigid base-polymer construct to create the implant, wherein the hydrogel comprises a solid hydrogel in the center and a porous hydrogel at the periphery or edge of the hydrogel; and 
 d. freezing and thawing the implant;
 wherein the freeze/thaw process is performed 1 to 5 times and wherein the resulting implant comprises the solid hydrogel, the porous hydrogel adjacent to the solid hydrogel and the porous rigid base attached only to the solid hydrogel. 
 
 
     
     
       2. The method of  claim 1 , wherein the freezing of the implant is performed at about −20° C. for about 4 to 24 hours and the subsequent thawing of the implant is performed at about 25° C. for about 4 to 12 hours. 
     
     
       3. The method of  claim 1 , wherein the geometric features are chosen from the group consisting of holes, macropores, and steps. 
     
     
       4. The method of  claim 1 , wherein the hydrogel comprises at least one solid hydrogel portion and at least one porous hydrogel portion. 
     
     
       5. A method of manufacturing an implant suitable for implantation into a mammal for the treatment, repair or replacement of defects or injury in musculoskeletal tissue, comprising:
 a. creating geometric features in a surface of a porous rigid base, wherein the porous rigid base contain micropores; 
 b. adding a liquid polymer to the geometric features and the surface of the porous rigid base, such that the geometric features are filled and the surface covered, to create a porous rigid base-polymer construct; 
 c. placing a hydrogel on the porous rigid base-polymer construct to create the implant; and 
 d. freezing and thawing the implant; 
 e. wherein the freeze/thaw process is performed 1 to 5 times, 
 wherein the hydrogel is manufactured comprising the steps: 
 a. soaking a degradable polymer sponge in deionized water for a period of about 1 hour to 5 days; 
 b. centrifuging the sponge during the soaking; 
 c. substituting the water with a non-biodegradable polymer in steps of increasing concentration up to a desired final concentration; 
 d. freezing the sponge to about −20° C. for about 4 to 24 hours and subsequently thawing the sponge at about 25° C. for about 4 to 12 hours, wherein the freeze/thaw process is performed 1 to 8 times; 
 e. removing a center section from the sponge after performing steps a.-d; 
 f. adding additional non-biodegradable polymer to the section; and 
 g. performing additional freeze/thaw processes to create a hydrogel with a solid hydrogel in the center and a porous hydrogel at the periphery or edge of the hydrogel. 
 
     
     
       6. A method of manufacturing an implant suitable for implantation into a mammal for the treatment, repair or replacement of defects or injury in musculoskeletal tissue, comprising:
 a. creating geometric features in a surface of a porous rigid base, wherein the porous rigid base contain micropores; 
 b. adding a liquid polymer to the geometric features and the surface of the porous rigid base, such that the geometric features are filled and the surface covered, to create a porous rigid base-polymer construct; 
 c. placing a hydrogel on the porous rigid base-polymer construct to create the implant; and 
 d. freezing and thawing the implant; 
 e. wherein the freeze/thaw process is performed 1 to 5 times, 
 wherein the hydrogel is manufactured comprising the steps of: 
 a. soaking a degradable polymer sponge in deionized water for a period of about 1 hour to 5 days; 
 b. centrifuging the sponge during the soaking; 
 c. substituting the water with a non-biodegradable polymer in steps of increasing concentration up to a desired final concentration; 
 d. freezing the sponge to about −20° C. for about 4 to 24 hours and subsequently thawing the sponge at about 25° C. for about 4 to 12 hours, wherein the freeze/thaw process is performed 1 to 8 times; 
 e. cutting the sponge into sections after performing steps a.-d; 
 f. adding additional non-biodegradable polymer to some of the sections from step e.; 
 g. performing additional freeze/thaw processes in the sections from step f. to create hydrogel sections comprising a solid hydrogel; 
 h. layering alternating porous hydrogel sections made from steps a.-d. and solid hydrogel sections made from steps a.-g.; and 
 i. performing additional freeze/thaw cycles to connect the sections, to create a hydrogel with alternating porous hydrogel sections and solid hydrogel sections. 
 
     
     
       7. The method of  claim 1 , further comprising the step of digesting away degradable polymer in the implant. 
     
     
       8. The method of  claim 1 , comprising the additional step of dehydrating the implant prior to implantation, such that the solid hydrogel and the porous hydrogel decrease in size and/or change shape, and upon implantation, the implant rehydrates and the solid hydrogel and the porous hydrogel increase in size and/or regain their shapes, and, wherein the porous hydrogel rehydrates prior to the solid hydrogel. 
     
     
       9. The method of  claim 1 , wherein the geometric feature is a central macropore. 
     
     
       10. The method of  claim 1 , wherein the porous rigid base is comprised of metal. 
     
     
       11. The method of  claim 1 , wherein the geometric features in a surface of the porous rigid base are formed by methods consisting of physical treating the porous rigid base.

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